Home Bratislava Medical Journal 2013 Bratislava Medical Journal Vol.114, No.9, p.547--548, 2013

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564


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Bratislava Medical Journal Vol.114, No.9, p.547--548, 2013

Title: Celiac disease hidden by cryptogenic hypertransaminasemia mistaken for fatty liver
Author: M. Foroutan, M. Rostami Nejad, S. Molanaee, S. Hogg-Kollars, K. Rostami

Abstract: A variety of signs and symptoms have been reported in regards to the typical and atypical presentations of CD. It is now well recognised that its onset may occur at any age and that atypical forms of CD are much more prevalent than its classic form (1).
In this case, where the patient presented with high BMI and evidence of grade I of fatty liver disease, CD was suspected due to mildly abnormal bloating, cryptogenic hypertransaminasemia, abnormal LFT and poor response to fatty liver treatment. This presentation type is not uncommon; diagnosis was confirmed by the presence of subtotal villous atrophy in the biopsy specimen, positive specific antibody screening (AGA, tTG and EMA antibodies), negative antibody screening and normalization of liver enzymes on a gluten-free diet (Tab. 2, Ref. 13).

Keywords: celiac disease hidden, cryptogenic hypertransaminasemia, fatty liver, atrophy, liver enzymes
Year: 2013, Volume: 114, Issue: 9 Page From: 547, Page To: 548

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